Organization · Type 2 NPI

Professional Clinical Services of Wi 1 LLC

Clinical Psychologist · Vero Beach, FL

NPI number 1508133158 Active

Practice location

292 Old Dixie Hwy
Vero Beach, FL 32962-2947

Fax (772) 562-8127

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Psychoanalyst 102L00000XNone listed
Psychologist 103T00000XNone listed
Adult Development & Aging Psychologist 103TA0700XNone listed
Cognitive & Behavioral Psychologist 103TB0200XNone listed
Clinical Psychologist Primary 103TC0700XNone listed
Counseling Psychologist 103TC1900XNone listed
Health Service Psychologist 103TH0100XNone listed
Prescribing (Medical) Psychologist 103TP0016XNone listed
Psychoanalysis Psychologist 103TP0814XNone listed
Group Psychotherapy Psychologist 103TP2701XNone listed
Psychiatry Physician 2084P0800XNone listed
Geriatric Psychiatry Physician 2084P0805XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1508133158

Professional Clinical Services of Wi 1 LLC's National Provider Identifier is 1508133158, issued on Nov 28, 2011. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Vero Beach, FL. The record was last updated on Nov 28, 2011.